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K.. <br /> CHANGE ORDER COLORADO DIVISION OF <br /> MINERALS AND GEOLOGY <br /> WHEREAS,authority exists in the Law and Funds have been budgeted,appropriated and otherwise made available and a 1313 Sherman St.,RM 215 <br /> sufficient uncommitted balance thereof remains available forencumbering and subsequent payment of this contract under Denver,CO 80203-2273 <br /> Encumbrance Number in Fund Number .fo Apr 190 ,and GBL --r (303)866-3567 <br /> Projectname Date <br /> Contractor name Bid# <br /> Contractor address Agreement# <br /> VendorlD# <br /> Project Manager Change Order# <br /> The following changes are hereby Made to the Agreement:(Include the costttime adjustment for each change) <br /> { r Ccn.L/1 c re- 1A,5 /( O^- /1 o _p rc n i/ e- 1-5 r4/14 rJ 0 A,1 <br /> AiJO �� c�✓�r� t� vc ne-pn�Sl-+/� 3., „ c.y <br /> e/ <br /> Justification <br /> S e i e, i) e c ft v C- /(i L'/�L' <br /> Change to Agreement price: <br /> Original Agreement Price: �? <br /> Current Agreement Price adjusted by previous Change Orders: <br /> S-7r� <br /> The Agreement Price due to this Change Order will be increased/decreased by: <br /> The new Agreement Price including this Change Order will be: s <br /> Y70 <br /> Change to Agreement time: <br /> The Agreement time will be increased/decreased by: <br /> Ja- d at 22 <br /> s <br /> The date for completion of ail work will be: <br /> Recommended by: <br /> DMG Project Manager Principle Representative <br /> Accep d by: <br /> for the Division of Purchasing, <br /> ��2 Z ntractor State Buildina Programs <br /> Approved by, <br /> nmr..P.nnram Cnnonnenr <br />